Ergotherapie - Repository of the LBI-HTA - Ludwig Boltzmann ...
Ergotherapie - Repository of the LBI-HTA - Ludwig Boltzmann ...
Ergotherapie - Repository of the LBI-HTA - Ludwig Boltzmann ...
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Ergebnisse der systematischen Reviews der American Occupational Therapy Association<br />
Tabelle 4.2-2: Review “Perception”: SR-Evidence for Interventions That Aim to Change Perceptual Abilities <strong>of</strong> People With Alzheimer’s Disease and Related Dementias<br />
Author/Year Study Objectives Design/ Participants<br />
Intervention and Outcomes<br />
Measure<br />
Results<br />
Study Limitations<br />
Chung & Lai (2002) 73<br />
To review <strong>the</strong> clinical efficiency<br />
<strong>of</strong> Snoezelen for older<br />
people with dementia.<br />
SR<br />
N=2 RCTs: 261<br />
2 RCTs<br />
Baker (2003): N=136<br />
van Weert (2005): N=125<br />
Intervention<br />
Snoezelen interventions<br />
Outcome Measures<br />
Behaviours, mood<br />
No differences between<br />
groups were found on most<br />
outcomes.<br />
Limited evidence was available;<br />
meta-analyses could not<br />
be conducted.<br />
AD= Alzheimer’s Disease; ADLs = activities <strong>of</strong> daily living; RCT = randomized controlled trial, SR = systematic review<br />
Source: taken with adaptations from Suppl. Table 2, Letts (2011a)<br />
Tabelle 4.2-3: Review “Perception”: RCT-Evidence for Interventions That Aim to Change Perceptual Abilities <strong>of</strong> People With Alzheimer’s Disease and Related Dementias<br />
Author/Year<br />
Inpatient/ or Outpatient<br />
Study Objectives<br />
Design/ Participants<br />
Intervention and Outcomes Measure<br />
Results<br />
Study Limitations<br />
Baillon et al. (2004)<br />
also reported in Baillon et<br />
al. (2005)<br />
BOTH IN- and OUTPA-<br />
TIENT<br />
To assess <strong>the</strong> effects <strong>of</strong><br />
Snoezelen on agitated behaviour<br />
<strong>of</strong> people with AD.<br />
RCT<br />
N=25<br />
recruited from three purpose<br />
built units providing<br />
inpatient and day care facilities<br />
for <strong>the</strong> care <strong>of</strong> older<br />
people with mental health<br />
problems<br />
Intervention<br />
Snoezelen intervention by trained<br />
staff in 3 sessions, each lasting 40<br />
min, over 2 wk<br />
Control<br />
Alternative OT-intervention<br />
(reminiscence intervention by<br />
trained staff in 3 sessions, each lasting<br />
40 min, over 2 wk)<br />
Outcome Measures<br />
Agitation, heart rate, mood<br />
No statistically significant<br />
difference was found between<br />
Snoezelen and reminiscence<br />
interventions in agitation<br />
from pretreatment to<br />
immediately or 15 min posttreatment.<br />
No significant differences<br />
were found in mood<br />
ratings (positive or negative).<br />
A small sample was used;<br />
sample selection bias is possible.<br />
Only immediate effects<br />
were evaluated.<br />
73 Cochrane Review: New search for studies and content updated (no change to conclusions), published in Issue 1, 2009, review content assessed as up-to-date: 21 April 2008.<br />
<strong>LBI</strong>-<strong>HTA</strong> | 2012 37